Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith William Blackman, MD

Individual provider Public Health & General Preventive Medicine Physician · NPI 1477532885

Keith William Blackman, MD is a Preventive Medicine in River Ridge, Louisiana. Qualified in 1987, 39 years ago. Practices with Madison Parish Hospital Service District, a 9-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
39
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11312 Jefferson Hwy
River Ridge, LA 70123-1709
Phone: (504) 464-0032
Fax: (504) 466-3440
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence 10367R (LA)

Record details

NPI number1477532885
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 19988, New Orleans, LA 70179-0988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPREVENTIVE MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Madison Parish Hospital Service District — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare